Can a pacemaker surgery be performed on a person who is suffering from liver disease ? What is the procedure and what are the risks involved ?

My mother 68, had a cather into arteries in leg yesterday, 100 % clogged, took four hours to get the balloon and stint, the groin area was so blocked. Only did one leg she went through so much. She has liver disease AS WELL... 4:30 this morning got taken to ICU for heart skipping and not right. They say putting a pacemaker this afternoon. how are they going to do this when they were already scared about the anathesia, for the surgery yesterday? she had it awake and just made comfortable with a relaxing med., then theynumbed her up. they had to go through the arm was so bad. I just want to know is this very very risky? How are they going to do this... Cant talk to the dr. till later this afternoon, and would really like to know what you think. Is the liver disease going to affect the procedure of putting the pacemaker in? what are they going to do?

hello ....
Welcome ....
As ur mother already underwent angioplasty n renting.
And pacemaker is a simple procedure, its done in local Anesthsia.
In a pt of liver disease, there may be a risk for bleeding disorder. Only require is that before procedure some test like PT, INR, APTT, BT, CT etc to be done. After that it can be performed.
Secondly its important now, becoz of rhythm disturbances.
Usually pacemaker implanted through rt or lt infra clavicular area.
So, dont worry go ahead with procedure
wish ur mother for a good health

Answered: Fri, 6 Apr 2012

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Anonymous's Response

hello
welcome to hcm
The pacemaker system includes the pacemaker itself and wires that connect the pacemaker to the heart. The pacemaker unit is slightly larger than a man’s wristwatch and contains a battery and computer circuits .The computer circuits perform the functions of monitoring the patient’s underlying heart rhythm and delivering an electrical signal to cause the heart to beat at the desired rate. Many pacemakers implanted today also may have rate responsiveness features that allow temporary pacing of the heart at faster rates during periods of exercise. Single-chamber pacemakers have only one wire connected to the heart and dual chamber pacemakers have wires to both the top and bottom chambers of the heart . Your cardiologist will recommend which type of pacemaker is needed. The pacemaker is implanted by a minor surgical procedure performed under local anesthesia. The wires are placed through a blood vessel beneath the collar bone and positioned in the heart under x-ray. The wires are then connected to the pacemaker, which is placed beneath the skin just below the collar bone. The surgery usually takes about 1 to 2 hours, and the risk of surgical complications is about 1% to 2%. Usually only a small bump in the skin is seen over the place where the pacemaker has been implanted. Other than restrictions on heavy lifting and extreme motion of the arm on the side of the pacemaker for several weeks, recovery from the procedure is minimal. Most patients return to normal activities within a few days. It is recommended that patients carry an identification card that provides specific information on the type of leads and pacemaker implanted.
no need to worry every thing will be alright.god bless your mother
take care
payal

Answered: Fri, 29 Jul 2011

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